Psychotherapeutic treatment concepts of personality disorders in patients with childhood traumatization

Fortschritte der Neurologie-Psychiatrie
Wolfgang Wöller

Abstract

The psychotherapeutic treatment of personality disorders in patients with childhood traumatization is still a major challenge. The broad range of clinical problems includes disturbed emotion regulation, reduced mentalization function, impaired integration of personality, maladaptive patterns of behavior and a high degree of comorbidity. A variety of treatment concepts of psychodynamic, cognitive-behavioral, and other origin have been developed to treat this patient population. The aim of this paper is to identifiy those concepts whose effectiveness has been sufficienty demonstrated by controlled studies. The concepts will be briefly described and evaluated with regard to their utility in focusing specific clinical problem areas. While a variety of treatment approaches has been developed for this condition, only a limited number of concepts of cognitive-behavioral and psychodynamic origin show up with sufficient evidence in terms of controlled studies. Among the cognitive-behaviorally oriented concepts are: Dialectical-behavioral Psychotherapy (Linehan), Affect Management Training (e. g. Cloitre), and Schema Therapy (Young). The psychodynamic concepts with evidence of effectiveness are: Tranference-focused Psychotherapy (Kernber...Continue Reading

Citations

Jun 20, 2017·European Psychiatry : the Journal of the Association of European Psychiatrists·S OtteM Dudeck

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